Sasse says the ACA gives bureaucrats more power and consumers fewer choices.

Humana has decided to reduce its participation in the federal health insurance exchanges established by the ACA by nearly 1,200 counties. It had offered individual health insurance coverage in 1,351 counties in 19 states. United Health Care has scaled back drastically, now only offering coverage in three states. Aetna has announced it will not expand and is evaluating its participation in 15 states.

Sasse has heard comments made on the campaign trail by for Democrat Hillary Clinton and her chief rival, Sen. Bernie Sanders, which advocate for more health care reform.

“We definitely need health care reform,” Sasse says. “We needed health care reform before Obamacare as well. But Obamacare has made the problems worse, not better. We need to back up and have a real conversation about how you empower families and local health care providers.”